A lot of hospital systems have home health positions, see if yours does. I am somewhat in the same boat as you, been on tele/step down for 6 years and am very dissatisfied with it. I've applied to PACU, case management and clinics within my hospital system because I can't afford the pay cut either but I know some that have dropped it all and found home health that pays almost as much so it depends on the company and the area. Good luck to you.